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剖宫产术后父亲与新生儿皮肤接触对新生儿及父亲的影响。

Effects of Paternal Skin-to-Skin Contact in Newborns and Fathers After Cesarean Delivery.

作者信息

Huang Xiaoli, Chen Liling, Zhang Li

机构信息

Department of Obstetrics and Gynecology, Nanfang Hospital of Southern Medical University, Guangzhou, China.

出版信息

J Perinat Neonatal Nurs. 2019 Jan/Mar;33(1):68-73. doi: 10.1097/JPN.0000000000000384.

Abstract

The objective of this study was to investigate the effects of paternal skin-to-skin contact (SSC) on newborns and fathers after cesarean delivery. In total, 108 neonates born via elective cesarean delivery and their fathers were recruited into this study. The neonates were randomly divided into 2 groups (n = 54 each). Newborns in the treatment group received SSC from their fathers shortly after cesarean delivery, whereas those from the control group received only routine care. The neonates' physical condition, breastfeeding rate, and the paternal psychological outcomes were compared between the 2 groups. The newborns in the treatment group had a more stable heart rate and forehead temperature, less duration of crying, and started feeding behavior earlier. The duration of breastfeeding after SSC in the treatment group was longer as well, with statistical significance, than the control group (P < .05). In addition, fathers in the treatment group had lower scores of anxiety and depression and better role attainment than those in the control group, with statistical significance (P < .05). The paternal SSC after cesarean delivery was beneficial for newborns by stabilizing newborns' physical conditions and increasing the breastfeeding rate. Meanwhile, it could significantly reduce anxiety and depression of fathers and facilitate their role attainment.

摘要

本研究的目的是探讨剖宫产术后父亲皮肤接触(SSC)对新生儿和父亲的影响。总共招募了108例择期剖宫产出生的新生儿及其父亲参与本研究。将新生儿随机分为2组(每组n = 54)。治疗组的新生儿在剖宫产术后不久即接受父亲的皮肤接触,而对照组的新生儿仅接受常规护理。比较两组新生儿的身体状况、母乳喂养率以及父亲的心理结局。治疗组的新生儿心率和额头温度更稳定,哭闹持续时间更短,开始进食行为更早。治疗组皮肤接触后的母乳喂养持续时间也比对照组更长,具有统计学意义(P < .05)。此外,治疗组父亲的焦虑和抑郁得分低于对照组,角色适应情况更好,具有统计学意义(P < .05)。剖宫产术后父亲的皮肤接触通过稳定新生儿的身体状况和提高母乳喂养率,对新生儿有益。同时,它可以显著降低父亲的焦虑和抑郁,并促进他们的角色适应。

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